Mercer County Community College Summer Sports Camps
Before-Care / After-Care Registration Form 2015

Print this form.  Mail the signed, completed form with full payment to:

Athletics Department
Mercer County Community College
P.O. Box 17202
Trenton, NJ 08690

Full payment must accompany registration.

Camper's
Last Name
First Name
Camper's S.S. # Home Phone
Street Business Phone
City Male or Female?
State & Zip
In the SELECT columns, mark the section(s) you wish to register the camper for:
Before-Care
7:30 - 9 a.m.
Section SELECT Days Cost
  June 22-26 $50
  June 29 - July 3 $50
  July 6-10 $50
  July 13-17 $50
  July 20-24 $50
  July 27-31 $50
  August 3-7 $50
  August 10-14 $50
Before-Care Total $
  After-Care
4 - 6 p.m.
Section SELECT Days Cost
  June 22-26 $70
  June 29 - July 3 $70
  July 6-10 $70
  July 13-17 $70
  July 20-24 $70
  July 27-31 $70
  August 3-7 $70
  August 10-14 $70
After-Care Total $

Method of Payment
$__________ Check or Money Order (combined total for before-care and after-care) payable to MCCC Althetic Foundation  Write camper's name and Social Security number on check. DO NOT SEND CASH.
Charge to: ____ Visa
____ Mastercard
____ American Express
____ Discover
Card Number
Expiration Date
Cardholder's Name
Cardholder's Signature
Charge Amount
$________________

Questions? E-mail athlete@mccc.edu or call (609) 570-3779.